Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $6,456.54	Professional		$645.65	$758.58	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,174.90	Professional		$1,047.13	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,348.96	Facility		$758.58	$758.58	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,584.89 / $2,290.87	Professional		$758.58	$1,584.89	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,348.96 / $6,309.57	Facility		$776.25	$1,348.96	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,258.93	Professional		$398.11	$602.56	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,019.95	Professional		$1,318.26	$1,318.26	$3,019.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $3,019.95	Professional		$1,659.59	$3,019.95	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $707.95 / $1,380.38	Facility		$467.74	$707.95	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $933.25	Professional		$407.38	$602.56	$933.25